Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-05-18-59
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214515 DEA: 024F6004 EFIS: 0213000012 |
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DIST-CO-RTE-PM | 02-SIS,TRI-36,96,299-VAR |
Award Date | 01/14/2020 |
Closeout Date | 08/24/2022 |
Work Description | BRIDGE DECK REPAIR, POLYESTER OVERLAY AND RAIL REPLACEMENT. |
Location Description | SISKIYOU AND TRINITY COUNTIES AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
Sample Taken Date | 05/18/2021 | Sample Unique Key | 59 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 05/18/2021 |
Sample type | Verification | A brief description of the sample | 1/2-inch Type A HMA (PG 64-28 M) |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | D78802 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Mercer-Fraser Company, Willow Creek Plant, Willow Creek, CA | Transportation Laboratory (TL) Number | 815633 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
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HMA Grading | 1/2 inch | Lot number | |
Sublot number | HMA Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2021-63 | Date Created | 07/23/2021 |
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JMF Submittal ID | JMF3511-22-2021-80 | JMF Status | Submittal Rejected For Use |
Producer Mix ID | L202327 | Rejected Date | 07/26/2021 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-05-18-59-2 AASHTO T209-12 (Verified)
DIME Test ID: 2021-05-18-59-4 AASHTO T275-07r12 (Verified)
DIME Test ID: 2021-05-18-59-5 AASHTO T269-14 (Verified)